| NPI | 1235504655 |
|---|---|
| Former Name | OLIVIA TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301018177) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018177) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-07-12 |